structural osteopathy


structural osteopathy


Structural osteopathy involves an osteopathic assessment of the patient's musculoskeletal system structure and biomechanics. It's common for a structural misalignment, causing inflammation, tension and muscle spasm, to impinge upon the nervous system or arterial blood flow. Joint mobilization and muscle energy techniques are used to treat pain and dysfunction within the following areas of the body: 

Temporomandibular Joints (TMJ)

Cervical Spine (C1-C7)


Acromioclavicular Joints 

Sternoclavicular Joints 








Thoracic Spine (T1-T12)

Ribs (R1-R12)

Lumbar Spine (L1-L5)


Sacroiliac Joints







Structural techniques are used to treat pain and dysfunction caused by the following conditions, but not limited to:

Facet Joint Syndrome

Back Pain

Sacroiliac Joint Dysfunction

Disk Herniation

Postural Imbalances

Piriformis Syndrome



Carpal/Cubital Tunnel Syndrome

Tennis/Golfers elbow

Hip Disorders

Iliotibial Band Syndrome



TMJ Disorder 


craniosacral osteopathy

craniosacral osteopathy


The cranial concepts were fathered by William Garner Sutherland, DO (1873-1954) who graduated from the American School of Osteopathy (known today as A.T Still University) in 1890. Sutherland was a direct student of the doctor who developed the field of osteopathy, Andrew Taylor Still, MD, DO, (1828-1917). Sutherland devoted his career to investigating his idea about cranial mobility, which he conceived while analyzing a mounted skull during his former year as a student.

After years of self-guided research and experimentation, Sutherland discovered an inherent rhythmic presence of motility within the central nervous system, which he defined as the primary respiratory mechanism of the body. Detectable by the sensory receptors in our fingertips, this rhythmic motion involves an expansion (coiling) and contraction (uncoiling) of the brain, cerebellum and spinal chord. Sutherland postulated that this movement is driven by capillaries along the lateral ventricular walls known as the choroid plexus; the 'functional mechanism' which interchanges the cerebrospinal fluid from the arterial blood into the lateral ventricles. The cerebrospinal fluid fluctuates within the subarachnoid space to provide buoyancy for the central nervous system. Sutherland revealed that the purpose of cranial bone articulation is to accommodate for the movement of the primary respiratory mechanism. Furthermore, misalignments of cranial bones cause restrictions, which impinge upon the intracranial venous flow and affect the sufficient interchange of cerebrospinal fluid needed for normal fluctuations to occur within the subarachnoid space. Stagnation of cerebrospinal fluid could then cause implications within other systems of the body and eventually lead to pathology. 

Cranial bones have dural membrane attachment points which connect to the C2, C3, ligamentum nuchae, S2 and the coccyx. Because of this, cranial lesions can directly and indirectly affect other regions of the body. 

Cranial techniques are used locate and release restrictions. Once a restriction has been released, the motility of the central nervous system and fluctuations of cerebrospinal fluid can return to normal function, as can all other affected areas of the body.  


visceral osteopathy

visceral osteopathy

Developed by Jean-Pierre Barral, DO, the visceral approach in osteopathy involves a gentle form of manual technique, which focuses on ensuring proper inherent motility (movement) of the internal organs and their connective tissues. Postural imbalances, inflammation and other physiological factors or surgery can be the cause of organ adhesion to one another. When this occurs, the disruption to the organ's natural motility will eventually jeopardize its vital function.

Visceral restrictions can directly or indirectly be the source of problems for musculoskeletal or cranial lesions and somatic dysfunction. The task at hand is to locate visceral restrictions by utilizing palpatory methods of assessment. Once located, visceral mobilization techniques will aid the body's natural ability to release the adhesion. When the inherent motility has been restored, the function of the affected organs can return to normal, along with other somatic dysfunctions caused by the primary restriction.